Kastellorizian Association of Victoria Inc
ABN 82746362911
ΚΑΣΤΕΛΛΟΡIZΙΑΚΟΣ ΣΥΝΔΕΣΜΟΣ
250 Dorcas Street, South Melbourne, Vic. 3205. • PO Box 112, South Melbourne, 3205
Web: www.kazzieclub.com Email:
Kastellorizian of the Year Award 2017
Criteria and Nomination Form
The Award of Kastellorizian of the Year was introduced in 1993.
Each year the award identifies a person who has achieved excellence in his or her chosen field and has brought honour to the Kastellorizian community.
The award in 2017 will be presented in Melbourne.
This year the presentation will be made at the KOY Dinner on
Saturday 7th October 2017
to be held at Kooyong Lawn Tennis Club
489 Glenferrie Rd, Kooyong VIC 3144
A list of past recipients can be located at – www.kazzieclub.com
Nominations may be submitted by any member of the
Kastellorizian Association of Victoria.
Nominations may also be submitted by any member of
another State Kastellorizian Association.
A person may be nominated more than once,
but a new and current nomination form must be submitted each time.
Selection Criteria
The nominated person must
1. Be of Kastellorizian descent.
2. Have demonstrated excellence in a field of endeavor and/or has made an outstanding contribution to the Kastellorizian, Greek and/or Australian community.
3. Be an inspirational role model for Kastellorizians.
Closing date for all applications will be the close of business on
31st August 2017.
Note: Members of the Selection Committee may not be nominated nor nominate a person for this award.
Kastellorizian Association of Victoria Inc
PO Box 112, South Melbourne, 3205, Victoria, Australia
KASTELLORIZIAN OF THE YEAR AWARD 2016
NOMINATION FORM
Nominator - please complete the Nominee’s Details, followed by your own (Nominator) details.
Nominee’s details (the person you would like to nominate):
Title______Surname______
First Name/s______Age______
Mother’s Maiden name______
Position/Organisation (optional)______
Residential Address______
______
Telephone
(home)______(work)______(mobile)______
Email:______
Nominator’s details (the person nominating the candidate)
Title______Surname______
First Name/s______Age______
Mother’s Maiden name______
Position/Organisation (optional)______
Residential Address______
______
Telephone
(home)______(work)______(mobile)______
Email:______State Kastellorizian Association, e.g. VIC:____
Relationship to nominated candidate______
Signature of Nominator______Date______
Kastellorizian Association of Victoria Inc
PO Box 112, South Melbourne, 3205, Victoria, Australia
KASTELLORIZIAN OF THE YEAR AWARD 2016
ADRESS TO CRITERIA
Each of the three criteria must be addressed. Please provide additional pages if there is not enough space on this form. Please also enclose a resume of the nominee (if available) and any supporting material.
Criterion 1. The nominated person must be of Kastellorizian Descent.
Outline the Kastellorizian heritage of the nominee.
Criterion 2. The nominated person must have demonstrated excellence in a field of endeavor and/or has made an outstanding contribution to the Kastellorizian, Greek and/or Australian community. Please provide details that support the demonstration of excellence in a particular field and also, if applicable, address their outstanding contribution to the community.
Criterion 3. The nominated person must be an inspirational role model for Kastellorizians. Please outline the reasons why the nominee is an inspirational role model, and also provide details of any recognition the nominee has received in their field of endeavor, or for any other endeavours.
Kastellorizian Association of Victoria Inc
PO Box 112, South Melbourne, 3205, Victoria, Australia
REFEREE (please complete the following details).
Please note: The referee may be contacted for further information if your nominee is short-listed.
Referee’s details:
Title______Surname______
First Name/s______
Position/Organisation (optional)______
Residential Address______
______
Telephone (home)______(work)______(mobile)______
Email:______
Relationship to nominated candidate______
Signature of Nominator______Date______
NOMINATION SUBMISSION DETAILS
NOMINATOR please note:
All nominations must be received by 31st August , 2017. The successful candidate will be notified by the week ending 22nd September 2017.
The presentation of the award will be held at the KOY dinner to be held at Yianni’s Tavern, Kew East, on Saturday 7th October.
The nomination form and attachments must be marked CONFIDENTIAL and submitted by post to:
The Secretary
Kastellorizian of the Year Nomination
Kastellorizian Association of Victoria
PO Box 112,
SOUTH MELBOURNE, VIC. 3205.
Australia
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Kastellorizian of the Year Award Application Form 2017